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2 | 2 | | SENATE DOCKET, NO. 662 FILED ON: 1/14/2025 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 703 |
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4 | 4 | | The Commonwealth of Massachusetts |
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5 | 5 | | _________________ |
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6 | 6 | | PRESENTED BY: |
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7 | 7 | | John J. Cronin |
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8 | 8 | | _________________ |
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9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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10 | 10 | | Court assembled: |
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11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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12 | 12 | | An Act improving access to community behavioral health centers. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :John J. CroninWorcester and MiddlesexJason M. LewisFifth Middlesex2/12/2025Michael O. MooreSecond Worcester2/27/2025John F. KeenanNorfolk and Plymouth2/27/2025Michael D. BradySecond Plymouth and Norfolk2/27/2025Nick CollinsFirst Suffolk3/5/2025 1 of 5 |
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16 | 16 | | SENATE DOCKET, NO. 662 FILED ON: 1/14/2025 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 703 |
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18 | 18 | | By Mr. Cronin, a petition (accompanied by bill, Senate, No. 703) of John J. Cronin, Jason M. |
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19 | 19 | | Lewis, Michael O. Moore, John F. Keenan and other members of the Senate for legislation |
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20 | 20 | | relative to community behavioral health centers. Financial Services. |
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21 | 21 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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22 | 22 | | SEE SENATE, NO. 613 OF 2023-2024.] |
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23 | 23 | | The Commonwealth of Massachusetts |
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24 | 24 | | _______________ |
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25 | 25 | | In the One Hundred and Ninety-Fourth General Court |
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26 | 26 | | (2025-2026) |
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27 | 27 | | _______________ |
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28 | 28 | | An Act improving access to community behavioral health centers. |
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29 | 29 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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30 | 30 | | of the same, as follows: |
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31 | 31 | | 1 SECTION 1. Chapter 32A of the general laws, as appearing in the 2022 official edition, |
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32 | 32 | | 2is hereby amended by inserting after section 30 the following new section:- |
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33 | 33 | | 3 Section 31. (a) For the purposes of this section, the following words shall have the |
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34 | 34 | | 4following meanings: |
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35 | 35 | | 5 “Behavioral health bundled services”, services delivered by a community behavioral |
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36 | 36 | | 6health center as specified in 101 CMR 305.00 for the evaluation, diagnosis, treatment, care |
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37 | 37 | | 7coordination, management, or peer support of patients with mental health, developmental or |
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38 | 38 | | 8substance use disorder, provided that services are reimbursed through a flat rate per encounter. 2 of 5 |
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39 | 39 | | 9 “Community Behavioral Health Centers”, a clinic licensed by the department of public |
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40 | 40 | | 10health and regulated pursuant to 130 CMR 448.00. |
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41 | 41 | | 11 (b) Any health plan offered by the commission shall provide to an active or retired |
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42 | 42 | | 12employee of the commonwealth who is insured under the group insurance commission benefits |
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43 | 43 | | 13on a nondiscriminatory basis for medically necessary behavioral health bundled services |
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44 | 44 | | 14delivered through community behavioral health centers. |
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45 | 45 | | 15 SECTION 2. Chapter 175 of the general laws, as appearing in the 2022 official edition, is |
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46 | 46 | | 16hereby amended by inserting after section 47PP the following new section:- |
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47 | 47 | | 17 Section 47QQ. (a) For the purposes of this section, the following words shall have the |
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48 | 48 | | 18following meanings: |
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49 | 49 | | 19 “Behavioral health bundled services”, services delivered by a community behavioral |
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50 | 50 | | 20health center as specified in 101 CMR 305.00 for the evaluation, diagnosis, treatment, care |
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51 | 51 | | 21coordination, management, or peer support of patients with mental health, developmental or |
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52 | 52 | | 22substance use disorder, provided that services are reimbursed through a flat rate per encounter. |
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53 | 53 | | 23 “Community Behavioral Health Centers”, a clinic licensed by the department of public |
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54 | 54 | | 24health and regulated pursuant to 130 CMR 448.00. |
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55 | 55 | | 25 (b) Any individual policy of accident and sickness insurance issued pursuant to section |
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56 | 56 | | 26108, which provides hospital expense and surgical expense insurance, and a group blanket or |
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57 | 57 | | 27general policy of accident and sickness insurance issued pursuant to section 110, which provides |
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58 | 58 | | 28hospital expense and surgical expense insurance, which is issued or renewed within or without 3 of 5 |
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59 | 59 | | 29the commonwealth, shall provide benefits on a nondiscriminatory basis for medically necessary |
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60 | 60 | | 30behavioral health bundled services delivered through community behavioral health centers. |
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61 | 61 | | 31 SECTION 3. Chapter 176A of the general laws, as appearing in the 2022 official edition, |
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62 | 62 | | 32is hereby amended by inserting after section 38 the following new section:- |
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63 | 63 | | 33 Section 39. (a) For the purposes of this section, the following words shall have the |
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64 | 64 | | 34following meanings: |
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65 | 65 | | 35 “Behavioral health bundled services”, services delivered by a community behavioral |
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66 | 66 | | 36health center as specified in title 101 CMR 305.00 for the evaluation, diagnosis, treatment, care |
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67 | 67 | | 37coordination, management, or peer support of patients with mental health, developmental or |
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68 | 68 | | 38substance use disorder, provided that services are reimbursed through a flat rate per encounter. |
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69 | 69 | | 39 “Community Behavioral Health Centers”, a clinic licensed by the department of public |
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70 | 70 | | 40health and regulated pursuant to 130 CMR 448.00. |
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71 | 71 | | 41 (b) Any contract between a subscriber and the corporation under an individual or group |
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72 | 72 | | 42hospital service plan which is issued or renewed within or without the commonwealth shall |
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73 | 73 | | 43provide benefits on a nondiscriminatory basis for medically necessary behavioral health bundled |
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74 | 74 | | 44services delivered through community behavioral health centers. |
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75 | 75 | | 45 SECTION 4. Chapter 176B of the general laws, as appearing in the 2022 official edition, |
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76 | 76 | | 46is hereby amended by inserting after section 25 the following new section:- |
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77 | 77 | | 47 Section 26. (a) For the purposes of this section, the following words shall have the |
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78 | 78 | | 48following meanings: 4 of 5 |
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79 | 79 | | 49 “Behavioral health bundled services”, services delivered by a community behavioral |
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80 | 80 | | 50health center as specified in title 101 CMR 305.00 for the evaluation, diagnosis, treatment, care |
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81 | 81 | | 51coordination, management, or peer support of patients with mental health, developmental or |
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82 | 82 | | 52substance use disorder, provided that services are reimbursed through a flat rate per encounter. |
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83 | 83 | | 53 “Community Behavioral Health Centers”, a clinic licensed by the department of public |
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84 | 84 | | 54health and regulated pursuant to 130 CMR 448.00. |
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85 | 85 | | 55 (b) Any subscription certificate under an individual or group medical service agreement |
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86 | 86 | | 56which is issued or renewed within or without the commonwealth shall provide benefits on a |
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87 | 87 | | 57nondiscriminatory basis for medically necessary behavioral health bundled services delivered |
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88 | 88 | | 58through community behavioral health centers. |
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89 | 89 | | 59 SECTION 5. Chapter 176G of the general laws, as appearing in the 2022 official edition, |
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90 | 90 | | 60is hereby amended by inserting after section 33 the following new section:- |
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91 | 91 | | 61 Section 34. (a) For the purposes of this section, the following words shall have the |
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92 | 92 | | 62following meanings: |
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93 | 93 | | 63 “Behavioral health bundled services”, services delivered by a community behavioral |
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94 | 94 | | 64health center as specified in 101 CMR 305.00 for the evaluation, diagnosis, treatment, care |
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95 | 95 | | 65coordination, management, or peer support of patients with mental health, developmental or |
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96 | 96 | | 66substance use disorder, provided that services are reimbursed through a flat rate per encounter. |
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97 | 97 | | 67 “Community Behavioral Health Centers”, a clinic licensed by the department of public |
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98 | 98 | | 68health and regulated pursuant to title 130 CMR 448.00. 5 of 5 |
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99 | 99 | | 69 (b) Any health maintenance contract issued or renewed within or without the |
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100 | 100 | | 70commonwealth shall provide benefits on a nondiscriminatory basis for medically necessary |
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101 | 101 | | 71behavioral health bundled services delivered through community behavioral health centers. |
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